Active NPI
Alyxandrah Dawn White
- Marriage & Family Therapist
- Tyler, TX
National Provider Identifier
1962931394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204697
- Practice address
- 3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667 - Phone
- (903) 283-8729
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3131 | KS | |
| Marriage & Family Therapist | 106H00000X | 12240 | NE | |
| Marriage & Family Therapist | 106H00000X | 204697 | TX | Primary |
Addresses
Primary practice location
3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667
Mailing address
3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667
Phone (903) 283-8729
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thebridgetherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 5, 2026 through Feb 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3131 | KS | MD | Professional Counselor |
| 12240 | NE | MD | Marriage & Family Therapist |
| 204697 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy G. Mayer | Past | Accepting new patients | |
| Bridge Therapeutic Services PLLC | Past | Accepting new patients | |
| Courser Lapo Inc | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Tyler, TX
- NPI 1174006084
-
- Professional Counselor
- Tyler, TX
- NPI 1336555499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1962931394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 PALUXY DR STE 240",
"city": "TYLER",
"state": "TX",
"postal_code": "757031667",
"telephone_number": "903-283-8729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 PALUXY DR STE 240",
"city": "TYLER",
"state": "TX",
"postal_code": "757031667",
"telephone_number": "903-283-8729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ALYXANDRAH",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "3131",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NE",
"license": "12240",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204697",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "thebridgetherapy.com",
"affiliation": "N",
"address_1": "3800 Paluxy Dr Ste 240",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757031667",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.